Facility profile · CCN 175415
Elmhaven East
33 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $53,504.
Record summary
Federal record · Q1 202633
Total citations
23
Last 3 years
2
Actual harm+
2
Federal penalties
$53,504
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
33 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 23, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 23, 2025 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint |
| Apr 23, 2025 | F732 | Post nurse staffing information every day. | C | Complaint |
| Apr 23, 2025 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint |
| Apr 23, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 23, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Apr 23, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Apr 23, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint |
| Apr 23, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Apr 23, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint |
| Apr 23, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Apr 23, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Aug 10, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 10, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Aug 10, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Aug 10, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 10, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 10, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard |
| Aug 10, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 10, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Aug 10, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Aug 10, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| May 11, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | Complaint |
| Dec 21, 2021 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Dec 21, 2021 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Dec 21, 2021 | F732 | Post nurse staffing information every day. | C | Standard |
| Dec 21, 2021 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Dec 21, 2021 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Dec 21, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 21, 2021 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 21, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 21, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 21, 2021 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $53,504 and 1 payment-denial actions spanning 8 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 11, 2023 | Fine | $53,504 | — |
| May 11, 2023 | Payment Denial | — | Jun 7, 2023 · 8 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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